阴道分娩后母亲不满的患病率和危险因素:一个多中心前性研究
Marie Tartaglia1, Alizée Froeliger2, Fleur Delva1,3
1University of Bordeaux, INSERM, Bordeaux Population Health Center, Epicene Team, Bordeaux, France.
概括
阴道分娩后母亲的不满是很低的. 缩短分娩和避免手动子宫检查的策略可能会改善分娩期间的患者满意度.
科学领域:
- 产科和妇科 产科和妇科
- 患者体验研究 研究研究
- 孕产妇健康 孕产妇健康
背景情况:
- 母亲的满意度是产科护理质量的关键指标.
- 了解影响满意度的因素对于改善产后体验至关重要.
研究的目的:
- 为了确定单独的阴道分娩后母亲不满的流行情况.
- 确定与产妇与分娩和住院相关的母亲不满症相关的风险因素.
主要方法:
- 附属队列研究嵌入TRANXAMIC酸预防产后出血经过阴道分娩 (TRAAP) 试验.
- 产后两天评估母亲的不满,使用自我管理的问卷.
- 用于识别相关风险因素的物流回归分析.
主要成果:
- 出生不满的发生率为2.9%;住院不满的发生率为9.5%.
- 长时间的分娩 (>6小时),不良的出生记忆,以及手动子宫检查 (在没有并发症的分娩中) 与出生不满有关.
- 非法国国籍是与对住院不满的唯一因素.
结论:
- 产后母亲的不满情绪通常很低.
- 专注于分娩时间和明智使用手动子宫检查的干预措施可以提高患者的满意度.
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